Center for Autism Spectrum Disorders, Center for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Children's Research Institute, Children's National Health System, Washington, DC, USA.
J Autism Dev Disord. 2018 Dec;48(12):4039-4055. doi: 10.1007/s10803-018-3723-6.
Despite research exploring autism in gender-diverse adolescents, no studies have elicited these individuals' perspectives. In-depth interviews with 22 well-characterized autistic gender-diverse adolescents revealed critical themes, including: recollections of pre-pubertal gender nonconformity; vivid experiences of gender dysphoria; a fear of social gender expression due to perceived animosity toward transgender people; and specific challenges that result from the interplay of gender diversity and neurodiversity. During the ~ 22 month study social gender affirmation increased in six participants and gender dysphoria attenuated in four participants. Given the ethical imperative to understand and prioritize the voiced perspectives and needs of autistic gender minority adolescents as well as the discovery of shared themes and experiences in this population, results should inform clinical research approaches and priorities.
尽管有研究探索性别多样化青少年中的自闭症，但没有研究引出这些人的观点。对 22 名特征明确的自闭症性别多样化青少年进行深入访谈，揭示了关键主题，包括：回忆青春期前的性别不一致；性别焦虑症的生动体验；由于对跨性别者的敌意，对社会性别表达的恐惧；以及性别多样性和神经多样性相互作用产生的具体挑战。在这项为期约 22 个月的研究中，有 6 名参与者的社会性别认同增加，4 名参与者的性别焦虑症减轻。鉴于了解和优先考虑自闭症性别少数青少年的声音观点和需求的道德必要性，以及在这一人群中发现的共同主题和经验，研究结果应该为临床研究方法和优先事项提供信息。
